NICHOLAS AVERY CHILD

JESUP, GA
NPI1558885814
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  PTA003613)
Enumeration Date2017-07-28
Last Update Date2018-03-17
Business Address
NICHOLAS AVERY CHILD
1251 S 1ST ST
JESUP, GA 31545-7729
Phone number: 912-559-2071
Mailing Address
NICHOLAS AVERY CHILD
4519 WALTER GRIFFIS RD
ODUM, GA 31555-8802
Phone number:
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